Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $933.25 / $7,943.28	Facility		$562.34	$933.25	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $954.99	Professional		$331.13	$416.87	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $691.83 / $1,071.52	Professional		$389.05	$691.83	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $1,071.52	Professional		$676.08	$870.96	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $562.34 / $870.96	Facility		$371.54	$562.34	$870.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $1,000.00	Professional		$537.03	$676.08	$1,000.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $724.44 / $831.76	Facility		$524.81	$724.44	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $562.34 / $851.14	Facility		$363.08	$562.34	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $724.44 / $1,047.13	Professional		$79.43	$724.44	$1,047.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $851.14 / $1,023.29	Facility		$645.65	$851.14	$1,023.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,096.48	Professional		$575.44	$794.33	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,380.38 / $6,165.95	Facility		$389.05	$1,380.38	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $1,023.29	Professional		$457.09	$691.83	$1,023.29